Individual
TODD A. LARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 MINERAL RD, GLENVILLE, WV 26351-1385
(304) 462-7322
(304) 462-4052
Mailing address
809 MINERAL RD, GLENVILLE, WV 26351-1385
(304) 462-7322
(304) 462-4052
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19106
WV
Other
Enumeration date
03/09/2006
Last updated
12/29/2008
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